OWTS Construction Permit Application Forms
This payment link is for DHSS and Contract County permits only. You must obtain an application number from the applicable permit authority PRIOR to making your payment online.
*Electronic submission is encouraged to greatly reduce processing times. You may submit your payment and application via regular mail. Please allow up to 2 weeks for the Program to receive the application if sending via regular mail.
Mail to:Missouri Department of Health and Senior Services
Attn: Fee Receipts
PO Box 570
Jefferson City, MO 65102
The OWTS construction and permitting applications are available below.
Construction Permit Application Instruction and Checklist
Construction Permit Application Form
When all fields on the DHSS Construction Permit Application Form have been completed, the printed form needs to be signed, dated and assigned an application number before submission to the permitting authority. To receive an application number, contact the permitting authority. Keep a copy of each form/document for your records. Submit the completed DHSS Construction Permit Application Form, the soil evaluation report, engineer design (if applicable) and other documents relating to the OWTS construction to the appropriate permitting authority. Click on the appropriate county above for contact information. .
Construction Permit Application Fee Form
Submit fee and form to the address on the form.
Note: To avoid delays, the Construction Permit Application Fee Form should contain the construction site address, the property owner's name, mailing address, and application number.
If paying online, submit completed form, by faxing to (573) 526-7377 or by mailing to: Missouri Department of Health and Senior Services, Onsite Wastewater Treatment Program, 930 Wildwood Dr., Jefferson City, MO, 65109.
Variances may be considered and granted by the permitting authority concerning repair to an OWTS that existed prior to or for property plotted before January 1, 1996, with site limitations. When a variance is needed, the application is to be submitted with the completed construction application.